Routine inspection (multi-day)·March 9, 2022

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required 1 Year Annual Inspection visit. LPA met with Interim Administrator and discussed purpose of visit. LPA Wallace inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside yard of the facility to ensure compliance with Title 22 regulations. Facility is a 59 bed assisted living facility with a current census of 35. Facility has a separate memory care unit, a library area and formal dining room as well as a locked room for medication storage. Assisted living activities are conducted in the dining room and there is a separate break room for staff as well as a beauty salon. Memory care unit has a formal dining area and separate sitting area as well as a locked room for medication storage. Activities in memory care are conducted inside and outside facility as appropriate. There is a courtyard area leading out to a garden in memory care. LPA conducted the infection control domain tool. The facility has an approved COVID Mitigation plan LIC 808 form in place. The facility has central entry point and has implemented screening and sign in procedures at the front door area with one designated entrance only at the assisted living section. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing, COVID-19 informational, and social distancing signs posted throughout the facility, on the front door, and yard. The facility has a designated infection control lead. The facility is able to designate and dedicated a COVID-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. Assisted living water temperature reads 108.2*F in the bathrooms and room temperature reads 74*F. Memory care water temperature reads 109.7*F in the bathrooms and room temperature reads 72*F. LPA observed the facility to have adequate food supply in both memory care and assisted living. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguishers expire May 17,2022 in both assisted living and memory care. Facility has an emergency food and water kit in both memory care and assisted living. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Interim Administrator.